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Vol. 67. Issue 10.
Pages 545-550 (December 2020)
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Vol. 67. Issue 10.
Pages 545-550 (December 2020)
Original article
Usefulness of pre-anesthetic consultation to reduce the degree of anxiety in patients scheduled for surgical intervention
Utilidad de la consulta preanestésica para disminuir el grado de ansiedad en pacientes programados para intervención quirúrgica
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E. Porcara, D. Peralb,c,
Corresponding author
davidperalsanchez@yahoo.es

Corresponding author.
a Hospital Universitario de La Plana, Vila-real, Castellón, Spain
b Hospital Provincial de Castellón, Castellón, España, Spain
c Universidad Jaime I, Castellón, Spain
Article information
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Tables (2)
Table 1. Clinical-demographic data.
Table 2. Heart rate and blood pressure values before and after the pre-anaesthesia consultation.
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Abstract
Background and objectives

Preoperative anxiety can alter perioperative evolution, increasing the need for sedatives and analgesics. Information received during the pre-anesthesia consultation could reduce the level of anxiety. The objective of this study was to determine whether preoperative anxiety levels decrease after the pre-anesthesia consultation.

Methods

Observational, unicentric, prospective study. Sociodemographic and clinical data were recorded. Heart rate, blood pressure and anxiety levels were measured before and after the pre-anesthesia consultation using the abbreviated State-Trait Anxiety Inventory (STAI). Results were analyzed using Wilcoxon test and univariate logistic regression.

Results

90 patients were included, with a median age of 62 years; 58% were females, 79% had completed primary-secondary studies, 72% were selected for ambulatory surgery and 72% preferred regional anesthesia. The prevalence of anxiety was 35.6% (STAI score 5, IQR 3–9); after the anesthesia consultation the score was reduced to 4 (IQR 2–6), P=.005. There was no significative decrease in hemodynamic values, and no significant relationship between anxiety and sociodemographic or clinical variables.

Conclusions

The pre-anesthesia consultation reduces anxiety levels in surgical patients. This emphasizes the importance of the pre-anesthesia consultation in identifying and managing anxiety.

Keywords:
Anxiety
Preanesthetic visit
Interview
Information
Anesthesia
Resumen
Antecedentes y objetivos

La ansiedad preoperatoria puede alterar la evolución perioperatoria aumentando la necesidad de sedantes y analgésicos. La información recibida en la consulta de anestesia podría reducir el nivel de ansiedad. Nuestro objetivo fue comprobar la reducción del nivel de ansiedad tras la consulta preanestésica.

Materiales y métodos

Estudio observacional, unicéntrico y prospectivo. Se registraron datos sociodemográficos y clínicos. La frecuencia cardiaca, tensión arterial y la ansiedad mediante la escala State-Trait Anxiety Inventory (STAI) abreviada se midieron antes y después de la entrevista anestésica. Los resultados fueron analizados mediante el test de Wilcoxon y regresiones univariables. Un valor de p menor o igual a 0.05 fue considerado significativo.

Resultados

Se incluyeron 90 pacientes, con edad media de 62 años, 58% mujeres, 79% con estudios primarios o secundarios, 72% programados para cirugía ambulatoria, y un 72% prefería anestesia regional. La prevalencia de la ansiedad fue del 35,6% (puntuación en escala STAI de 5, (RIC 3-9), que se redujo tras la consulta a 4 (RIC 2-6); p = 0,005. No hubo descenso significativo de los valores hemodinámicos ni relación entre el nivel de ansiedad y las variables sociodemográficas y clínicas.

Conclusiones

La información administrada en la entrevista anestésica logró reducir los niveles de ansiedad. Este hecho enfatiza la importancia de la consulta preanestésica en lo que a identificación y manejo de la ansiedad se refiere.

Palabras clave:
Ansiedad
Consulta preanestésica
Entrevista
Información
Anestesia.

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